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Remote Claims Analyst II - Auditing & Resolution

Remote / Online - Candidates ideally in
High Point, Guilford County, North Carolina, 27264, USA
Listing for: Trillium Health Resources
Remote/Work from Home position
Listed on 2026-09-04
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 43000 - 62000 USD Yearly USD 43000.00 62000.00 YEAR
Job Description & How to Apply Below

Trillium Health Resources is seeking a Claims Specialist II to join our North Carolina team. The role performs data analysis, auditing, and finalizes adjudication results for pre-payment and post-payment review of claim adjudication per CMS, NC Medicaid, and Trillium policies.

The person will assist providers by phone or email with claims processing questions and coordinate with internal and external stakeholders to facilitate efficient resolution.

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